Organization Active NPI

Alan Bloomberg MD PC

Doing business as Albany Multi-Medicine Group

  • Emergency Medical Services (Emergency Medicine) Physician
  • Albany, NY
National Provider Identifier
1396839486
Registry record updated Jun 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X
Legal business name
ALAN BLOOMBERG MD PC
Doing business as
Albany Multi-Medicine Group
Practice address
1694 Central Ave
Albany, NY 12205
Phone
(518) 869-3884
Fax
(518) 869-6030
NPI assigned
Oct 3, 2006
Last updated
Jun 18, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Ericka H. Jensen
Title
Office Manager
Phone
(518) 869-3884

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Chiropractor 111NX0800X NU
Emergency Medical Services (Emergency Medicine) Physician 207PE0004X NU Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

1694 Central Ave
Albany, NY 12205

Mailing address

1694 Central Ave
Albany, NY 12205
Phone (518) 869-3884

Other names 1

  • Albany Multi-Medicine Group Doing business as

National Provider Directory

National Provider Directory

Locations

1694 Central Ave
Colonie, NY 12205
Phone (518) 869-3884

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1339977600000",
    "number": "1396839486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1694 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-869-3884",
            "fax_number": "518-869-6030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1694 CENTRAL AVE",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12205",
            "telephone_number": "518-869-3884",
            "fax_number": "518-869-6030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALAN BLOOMBERG MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2012-06-18",
        "status": "A",
        "authorized_official_last_name": "JENSEN",
        "authorized_official_first_name": "ERICKA",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "518-869-3884",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111NX0800X",
            "taxonomy_group": "",
            "desc": "Chiropractor, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Albany Multi-Medicine Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.